NPIMap

Organization Active NPI

Therapy Trails, LLC

  • Speech-Language Pathologist
  • Grovetown, GA
National Provider Identifier
1760993497
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP008920 Issued in GA
Legal business name
THERAPY TRAILS, LLC
Practice address
5176 Wrightsboro Rd
Grovetown, GA 30813-2802
Phone
(706) 842-3330
Fax
(706) 426-1168
NPI assigned
Oct 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Peavy, CCC-SLPNPI 1376942508
Title
Speech-Language Pathologist
Phone
(478) 230-0431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SLP008920 GA Primary
Multi-Specialty Clinic/Center 261QM1300X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

5176 Wrightsboro Rd
Grovetown, GA 30813-2802

Mailing address

5176 Wrightsboro Rd
Grovetown, GA 30813-2802
Phone (706) 842-3330

Other practice location 1

536 Grand Slam Dr
Evans, GA 30809
Phone (706) 842-3330

Other practice location 2

3642 Wheeler Rd
Augusta, GA 30909-6519
Phone (706) 842-3330

National Provider Directory

National Provider Directory

Locations

536 Grand Slam Dr
Evans, GA 30809
Phone (706) 842-3330

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1760993497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5176 WRIGHTSBORO RD",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308132802",
            "telephone_number": "706-842-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5176 WRIGHTSBORO RD",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308132802",
            "telephone_number": "706-842-3330",
            "fax_number": "706-426-1168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "536 Grand Slam Dr",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "30809",
            "country_code": "US",
            "telephone_number": "706-842-3330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3642 Wheeler Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096519",
            "country_code": "US",
            "telephone_number": "706-842-3330",
            "fax_number": "706-426-1168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAPY TRAILS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2022-12-09",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "PEAVY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "478-230-0431",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008920",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grovetown, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.